Wolf, Lisa J

Wolf, Lisa J is an sole proprietor health care provider with primary practice located at 400 Patroon Creek Blvd Suite 1, Albany NY 12206-5004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wolf, Lisa J can be contacted via phone (518) 489-0044.

Contact Information

Primary practice address
400 Patroon Creek Blvd Suite 1 Albany NY 12206-5004
Fax: (518) 489-3591
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 011597 New York

Profile Details

NPI number 1467422089
LBN Legal business name Wolf, Lisa J
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Jul 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467422089 NPPES
New York Other P01083127 RAILROAD MEDICARE

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